An auto accident, workplace injury or liability case is paid by an insurer, employer or settlement, not the patient's health plan, and general billing systems were not built for that. Agnotic Technologies builds accident and claim software that tracks each case, its adjusters and attorneys, its liens and its records from intake to a closed balance.
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Accident and claim software is the case and billing system a provider uses for injury patients whose care is paid by an auto insurer, a workers' compensation carrier or a liability settlement. Agnotic Technologies builds it to track each case's claim numbers, adjusters, attorneys, liens and letters of protection, records packets and balances in one place.
Each case type has its own payer, paperwork and way of getting paid. Many patients move between them.
Care billed to the patient's auto insurer under medical benefits, where state law provides them.
Care for work-related injuries billed to the employer's carrier or administrator.
Care paid from a settlement, often under a letter of protection or a lien.
One injury, several payers over time.
Practice billing systems model a patient and a health plan. Injury cases need more.
No case record: the claim number, date of injury, adjuster and attorney live in notes fields, so nobody can see a case at a glance.
Liens on spreadsheets: letters of protection and lien balances are tracked outside the billing system and drift from the ledger.
Records requests by hand: staff assemble records packets one page at a time, and checking for a valid authorization depends on memory.
Cases that close silently: a settlement happens, the balance is never reconciled and the account ages until it is written off.
The case, not the patient account, is the unit the rest of the system hangs from.
Date of injury, case type, claim numbers and payer sequence, with every visit and charge linked to the case.
Adjusters, nurse case managers, employers and attorneys stored as contacts with a role on each case, not as free text.
Billed, paid, lien balance, reductions and write-offs reported per case as well as per patient.
Authorizations, letters of protection, records sent and correspondence attached to the case with who, what and when.
Modules we build for injury care providers and the billing companies that serve them.
Injury details, case type, claim numbers and payer information captured at the first call or visit.
Contacts with roles per case, contact history and reminders for follow-ups.
Signed documents, balances, reduction requests and settlement status per case.
Visit notes, bills and imaging reports assembled for a request, released only when a valid authorization is on file.
Bills and reports in the format each auto or workers' compensation payer accepts, plus X12 837 claims where a health plan pays.
Open balances by case type, attorney and age, and cases waiting on a settlement or a document.
The transactions, documents and platforms behind the accident and claim software we build.
The payer, the paperwork and what the case record must track, by case type. Rules vary by state and by payer, so we confirm them with your billing team before we configure anything.
| Case type | Who usually pays | What the payer needs on file | What the case record tracks |
|---|---|---|---|
| Auto, PIP or no-fault | The patient's auto insurer, under the policy's medical benefits | Claim number, policy, date of accident, adjuster | Benefit used and remaining, adjuster contact, denials |
| Auto, medical payments | The auto insurer under automobile medical payment coverage | Claim number, policy and itemised bills | Amount billed against the coverage limit |
| Workers' compensation | The employer's carrier or claims administrator | Claim number, employer, date of injury, required state forms | Treatment authorizations, reports sent, payments against any fee schedule |
| Liability, with a letter of protection | Paid from a settlement, through the patient's attorney | Signed letter of protection or lien, attorney details | Balance, reduction requests, settlement status, final payment |
| Health plan as payer | The patient's health plan, where it covers the care | X12 837 claim, eligibility, coordination of benefits details | Claim status, remittance and any recovery notices |
Measures we build reporting around, agreed with your billing lead before launch.
By case type and attorney, so slow cases surface early.
Totals per attorney and per settlement status.
Authorizations, claim numbers or letters of protection not yet on file.
Tracked per case so reduction policy is applied consistently.
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Providers and billing teams with a large share of injury cases.
Auto and personal injury cases with letters of protection and attorney contacts.
Workers' compensation authorizations and progress reports alongside auto cases.
Higher-value injury cases with liens, records requests and settlement tracking.
Studies ordered on a letter of protection, with reports sent to attorneys and adjusters.
Employer accounts, workers' compensation claims and return-to-work reports.
Injury case billing run for several clinics, with reporting per client.
The systems a case reads from and writes to between intake and a closed balance.
We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.
Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.
We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.
We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.
Our architectures are built to handle massive data loads and user bases, keeping performance steady whether you're serving ten or ten million.
Using our suite of internal tools and proven frameworks, we reduce development cycles and get your product to market 40% faster.
Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.
How to build accident and claim software around one case type first. Timing depends on scope, and we agree a fixed first release on the scoping call.
We agree the case types, the systems to connect and the reports your team needs first.
We follow a few real cases from intake to settlement with your staff and note every document and hand-off.
The case record, contacts and lien tracking for one case type, connected to your practice management system.
Workers' compensation, auto and records packets added one at a time, with balances reconciled to your ledger.
New payers, forms and reports under agreed support terms.
Short facts behind injury case billing, each linked to its primary source.
The HIPAA definition of a health plan excludes any policy, plan or program to the extent that it provides, or pays for the cost of, excepted benefits listed in section 2791(c)(1) of the Public Health Service Act.
Source: 45 CFR 160.103, definition of health plan (eCFR)Federal rules list liability insurance (including automobile liability insurance), workers' compensation or similar coverage, and automobile medical payment insurance among the benefits that are excepted in all circumstances.
Source: 45 CFR 146.145(b)(2) (eCFR)A HIPAA covered entity may disclose protected health information as authorized by, and to the extent necessary to comply with, laws relating to workers' compensation or similar programs that provide benefits for work-related injuries or illness without regard to fault.
Source: 45 CFR 164.512(l) (eCFR)A valid HIPAA authorization must describe the information to be disclosed, name who may disclose it and who may receive it, state each purpose, carry an expiration date or event, and be signed and dated by the individual.
Source: 45 CFR 164.508(c) (eCFR)HIPAA adopts ASC X12 standards for electronic transactions, including health care claims (837), payment and remittance advice (835), eligibility inquiries (270/271) and prior authorization requests (278).
Source: 45 CFR Part 162 (eCFR)We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
“I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly.”
Aaron Phelan
Founder, Benchmark
“Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”
John Pasmore
Founder, Latimer
“Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together.”
Kim Smith
Founder, My Lauren
Pages for the billing and claims work that sits next to injury case software.
Charge capture, claims, remittance posting and patient statements for practices and billing companies.
Eligibility, claims, denials and payment posting across the provider revenue cycle.
Claim intake, checks and status tracking for providers and payers.
Fax and PDF capture into structured data, useful for records requests.
837, 835, 270/271 and 276/277 transactions with clearinghouses and payers.
The safeguards we build into every system that holds patient data.
Explore other production-grade engineering platforms we deliver across healthcare.
The technical patterns behind this platform translate naturally into adjacent verticals.
